Reflex herpes simplex virus type 1 glycoprotein g-specific antibody, igg by elisa (herpeselect(r) (CPT 86695)
86695 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
104 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Southeast Colorado Hospital | Springfield, CO | $6 | $7 | $13.19 | 0.5× |
| Banner Fort Collins Medical Center | Fort Collins, CO | $8.60 | $46.50 | $13.19 | 0.7× |
| Banner North Colorado Medical Center | Greeley, CO | $12.42 | $46.50 | $13.19 | 0.9× |
| Foothills Hospital | Boulder, CO | $14 | $28 | $13.19 | 1.1× |
| Sterling Regional MedCenter | Sterling, CO | $18.92 | $46.50 | $13.19 | 1.4× |
| Banner Wyoming Medical Center | Casper, WY | $19.53 | $46.50 | $13.19 | 1.5× |
| Delta County Memorial Hospital | Delta, CO | $21 | $35 | $13.19 | 1.6× |
| Memorial Hospital of Converse County | Douglas, WY | $28.78 | $50.50 | $13.19 | 2.2× |
| Lincoln Health Hospital | Hugo, CO | $29 | $29 | $13.19 | 2.2× |
| Denver Health Medical Center | Denver, CO | $31.55 | $90.12 | $13.19 | 2.4× |
| Community Hospital, Torrington (Banner Health) | Torrington, WY | $32.36 | $46.50 | $13.19 | 2.5× |
| East Morgan County Hospital | Brush, CO | $34.36 | $46.50 | $13.19 | 2.6× |
| Platte County Hospital | Wheatland, WY | $35.16 | $46.50 | $13.19 | 2.7× |
| Middle Park Medical Center | Kremmling, CO | $45.16 | $56.45 | $13.19 | 3.4× |
| Parkview Medical Center | Pueblo, CO | $45.20 | $113 | $13.19 | 3.4× |
| Yuma District Hospital | Yuma, CO | $45.75 | $61 | $13.19 | 3.5× |
| Sublette County Health | Pinedale, WY | $49.50 | $55 | $13.19 | 3.8× |
| Community Hospital Grand Junction | Grand Junction, CO | $53.20 | $95 | $13.19 | 4.0× |
| Montrose Regional Health | Montrose, CO | $54.38 | $72.50 | $13.19 | 4.1× |
| Washakie Medical Center | Worland, WY | $55.01 | $46.50 | $13.19 | 4.2× |
| Cody Regional Health | Cody, WY | $55.25 | $65 | $13.19 | 4.2× |
| Star Valley Medical Center | Afton, WY | $58.10 | $83 | $13.19 | 4.4× |
| Rio Grande Hospital | Del Norte, CO | $58.80 | $78.40 | $13.19 | 4.5× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $59 | $118 | $13.19 | 4.5× |
| Rangely District Hospital | Rangely, CO | $60 | $92.30 | $13.19 | 4.5× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $60.08 | $100.12 | $13.19 | 4.6× |
| Memorial Hospital of Carbon County | Rawlins, WY | $61.50 | $82 | $13.19 | 4.7× |
| Arkansas Valley Regional Medical Center | La Junta, CO | $62 | $103 | $13.19 | 4.7× |
| Southwest Memorial Hospital | Cortez, CO | $62.50 | $124.50 | $13.19 | 4.7× |
| Memorial Hospital of Sweetwater County | Rock Springs, WY | $63 | $63 | $13.19 | 4.8× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $64.07 | $64.07 | $13.19 | 4.9× |
| Campbell County Health | Gillette, WY | $66.15 | $73.50 | $13.19 | 5.0× |
| Regional West Medical Center | Scottsbluff, NE | $67.80 | $113 | $13.19 | 5.1× |
| Evanston Regional Hospital | Evanston, WY | $68.17 | $113.61 | $13.19 | 5.2× |
| UCHealth Greeley Hospital | Greeley, CO | $68.40 | $114 | $13.19 | 5.2× |
| Sheridan Memorial Hospital | Sheridan, WY | $69.60 | $87 | $13.19 | 5.3× |
| St. Anthony Summit Medical Center | Frisco, CO | $70.38 | $175.94 | $13.19 | 5.3× |
| UCHealth University of Colorado Hospital | Aurora, CO | $71.40 | $204 | $13.19 | 5.4× |
| St. Elizabeth Hospital | Fort Morgan, CO | $73.63 | $184.06 | $13.19 | 5.6× |
| St. Mary-Corwin Hospital | Pueblo, CO | $73.89 | $184.72 | $13.19 | 5.6× |
| Sedgwick County Memorial Hospital | Julesburg, CO | $76 | $76 | $13.19 | 5.8× |
| San Luis Valley Health Regional Medical Center | Alamosa, CO | $76.45 | $139 | $13.19 | 5.8× |
| Mercy Hospital Durango | Durango, CO | $77.84 | $194.59 | $13.19 | 5.9× |
| Grand River Medical Center | Rifle, CO | $78.50 | $157 | $13.19 | 6.0× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $78.97 | $263.23 | $13.19 | 6.0× |
| Poudre Valley Hospital | Fort Collins, CO | $79.80 | $114 | $13.19 | 6.1× |
| Medical Center of the Rockies | Loveland, CO | $79.80 | $114 | $13.19 | 6.1× |
| Kit Carson County Memorial Hospital | Burlington, CO | $81.12 | $95.43 | $13.19 | 6.1× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $87.25 | $87.25 | $13.19 | 6.6× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $87.84 | $125.48 | $13.19 | 6.7× |
| Melissa Memorial Hospital | Holyoke, CO | $89.60 | $112 | $13.19 | 6.8× |
| Ivinson Memorial Hospital | Laramie, WY | $90 | $90 | $13.19 | 6.8× |
| St. John's Medical Center | Jackson, WY | $90 | $90 | $13.19 | 6.8× |
| South Big Horn County Hospital (Three Rivers Health) | Basin, WY | $91.20 | $121.60 | $13.19 | 6.9× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $91.98 | $153.30 | $13.19 | 7.0× |
| Longs Peak Hospital | Longmont, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| UCHealth Broomfield Hospital | Broomfield, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $92.14 | $263.23 | $13.19 | 7.0× |
| Memorial Hospital at Craig | Craig, CO | $92.15 | $141.78 | $13.19 | 7.0× |
| Parkland Memorial Hospital | Dallas, TX | $98 | $245 | $13.19 | 7.4× |
| Niobrara County Hospital District | Lusk, WY | $100.80 | $126 | $13.19 | 7.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $102.09 | $226.86 | $13.19 | 7.7× |
| Longmont United Hospital | Longmont, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Anthony Hospital | Lakewood, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| Penrose Hospital | Colorado Springs, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Anthony North Health Campus | Westminster, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| OrthoColorado Hospital | Lakewood, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $102.77 | $256.91 | $13.19 | 7.8× |
| Wray Community District Hospital | Wray, CO | $105.20 | $140.27 | $13.19 | 8.0× |
| Family Health West Hospital | Fruita, CO | $107.80 | $154 | $13.19 | 8.2× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $110.25 | $122.50 | $13.19 | 8.4× |
| Powell Valley Healthcare | Powell, WY | $113.82 | $133.90 | $13.19 | 8.6× |
| Gunnison Valley Hospital | Gunnison, CO | $116.45 | $137 | $13.19 | 8.8× |
| Aspen Valley Hospital | Aspen, CO | $119 | $119 | $13.19 | 9.0× |
| Vail Health Hospital | Vail, CO | $125.25 | $167 | $13.19 | 9.5× |
| Heart of the Rockies Regional Medical Center | Salida, CO | $125.38 | $147.50 | $13.19 | 9.5× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $127 | $127 | $13.19 | 9.6× |
| Estes Park Medical Center | Estes Park, CO | $129 | $172 | $13.19 | 9.8× |
| Hot Springs County Memorial Hospital | Thermopolis, WY | $135 | $135 | $13.19 | 10.2× |
| Johnson County Healthcare Center | Buffalo, WY | $142 | $142 | $13.19 | 10.8× |
| St. Thomas More Hospital | Canon City, CO | $151.03 | $377.57 | $13.19 | 11.5× |
| Weston County Health Services | Newcastle, WY | $168 | $168 | $13.19 | 12.7× |
| Crook County Medical Services District | Sundance, WY | $175.95 | $234.60 | $13.19 | 13.3× |
| Valley View Hospital | Glenwood Springs, CO | $204.85 | $241 | $13.19 | 15.5× |
| Animas Surgical Hospital | Durango, CO | $206 | $206 | $13.19 | 15.6× |
| Haxtun Hospital District | Haxtun, CO | $276.90 | $284 | $13.19 | 21.0× |
| AdventHealth Porter | Denver, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Avista | Louisville, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Littleton | Littleton, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Parker | Parker, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| AdventHealth Castle Rock | Castle Rock, CO | $285.35 | $285.35 | $13.19 | 21.6× |
| HCA HealthOne Rose Medical Center | Denver, CO | $290 | $290 | $13.19 | 22.0× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $314.52 | $314.52 | $13.19 | 23.8× |
| South Lincoln Medical Center | Kemmerer, WY | $565.50 | $754 | $13.19 | 42.9× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $673 | $673 | $13.19 | 51.0× |
| Medical City Dallas | Dallas, TX | $980.22 | $980.22 | $13.19 | 74.3× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $1,305.26 | $1,305.26 | $13.19 | 99.0× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $62.19 | $13.19 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $124.15 | $13.19 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $124.20 | $13.19 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $145.25 | $13.19 | — |
| Intermountain Health St. Mary's Regional Hospital | Grand Junction, CO | — | $145.44 | $13.19 | — |
| Aspen Mountain Medical Center | Rock Springs, WY | — | $151.25 | $13.19 | — |
| North Big Horn Hospital District | Lovell, WY | — | $156.50 | $13.19 | — |
"Medicare pays" here is the Clinical Laboratory Fee Schedule rate — a national lab fee, the same benchmark at every hospital.